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How to purchase interoperable Mammo Equipment

How to purchase interoperable Mammo Equipment. Carolyn Reynolds Connectivity Manager Hologic, Inc. IHE Mammography Committee. Stanford Conference on Breast Imaging April 27, 2006. How to purchase interoperable Mammo Equipment vs. What to include in the RFP.

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How to purchase interoperable Mammo Equipment

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  1. How to purchase interoperable Mammo Equipment Carolyn Reynolds Connectivity Manager Hologic, Inc. IHE Mammography Committee Stanford Conference on Breast Imaging April 27, 2006

  2. How to purchase interoperable Mammo Equipmentvs.What to include in the RFP

  3. Be careful of what you ask for…… …….you just may get it -Author Unknown

  4. Be careful what you DON’T ask for…… …….because it may not work

  5. Asked if PACS could store mammography images A True Story PACS modality Mammo Workstation

  6. Asked if PACS could store mammography images Did NOT ask if they could be retrieved A True Story PACS Mammo Workstation modality

  7. PACS did not offer A diagnostic mammo workstation Ability to print original quality mammo images Facility ended up investing in a separate storage solution for mammography with more efficient workflow A True Story Cont’d PACS Mammo Workstation modality

  8. So, how do you know what to ask for? For a start, ask for the: IHEMammography Image Integration Profile Education –RFPs for Digital Mammography

  9. Profile was just published this week 1st real world test at Connectathon Jan 2007 Vendor adoption takes time Product development takes time Not all equipment is replaced at the same time Things to keep in mind

  10. Many IHE Mammo features are available, today Other applicable IHE profiles may be of interest Have been around for a while Are widely adopted Increase success in various clinical challenges e.g. scheduling exams, storing data to CD’s Education and knowledge are key The Good News

  11. Digital Mammography User Handbook Framework IHE Users Handbook Digital Mammography IHE Mammography Image Integration Profile Coming RSNA 2006! Goal: Provide education on deploying IHE to solve mammography interoperability challenges !! Section on RFP’s !!

  12. Example RFP language for General product information FFDM Modalities Diagnostic Workstations PACS, Archives Printers CAD Systems Film Digitizers Other IHE Profiles of interest Mammography Deployment Handbook – RFP Section

  13. Ask vendor(s) for commitment to the IHE Mammography Image Integration Profile (MAMMO). Ask about: Upgrade to existing product or new product Anticipated availability Budgetary pricing or other possible charges General RFP Recommendations

  14. For each of the components that you will be purchasing…. Request a DICOM Conformance Statement Request an IHE Integration Statement General RFP Recommendations

  15. Example IHEIntegration Statement

  16. Acquisition Modality-Presentation Requirements Does your modality: In General Does your system encode data in a way that will be compatible with my downstream devices?

  17. Workstations Data Requirements In General: Can the workstation handle the necessary data for mammography images and CAD results? Does it know how to tie the two together? Does your workstation:

  18. Can your product handle mammography hanging protocols correctly? VS. Workstations Hanging Protocols

  19. There is not “one size fits all” protocol for mammography As part of your RFP, clarify your own preferred layouts and desired sequence of layouts Make sure HP’s are determined by factors on next slide, not the traditional study and series description attributes. Workstations Hanging Protocols

  20. Workstations Hanging Protocols Sample language for RFP

  21. Does your product handle sizing correctly? VS. Workstations Size Presentation Can your workstation:

  22. Will you get the grayscale right? Can you keep the air gap (non breast tissue) area black during contrast adjustments and inversions? Will my measurements be correct? Workstations Display & Contrast Adjustment

  23. PACS / Archive Data Requirements Does your archive: Can I store all the data necessary to support digital mammography on my PACS? Can I get back out all the data that I stored, or has it been modified in some way? Is it possible that a PACS data modification could break the functionality of other components?

  24. Can your product print film with: The proper maximum density? The proper physical size? Annotations per MQSA requirements? Minimum to no border at chestwall? Print ApplicationModality, Workstation, or PACS When printing:

  25. Can your printer: Print images “true size”? Print at a maximum density appropriate for mammography? Print with minimal borders at the chestwall? Printers Can your printer:

  26. CAD System Can your CAD system: How can I have confidence in the sending and receipt of CAD results?

  27. Educate yourself on what to ask for Ask vendors about their commitment to IHE Mammo Get a copy of the existing IHE Users Handbook Get a copy of the IHE Mammography User handbook – RSNA 2006 Have technical resources read the IHE Mammo Technical Framework Summary

  28. IHE Web site: http://www.ihe.net Technical Frameworks Users Handbooks IHE Fact Sheet and FAQ IHE Integration Profiles: Guidelines for Buyers IHE Connect-a-thon Results Presentations Vendor Products Integration Statements More information….

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